Ultrasound Versus Virtual Reality on Temporomandibular Disorder

NCT07575633 — Not applicable, Not yet recruiting, 50 participants, Amany Refaat Mohamed Abdel Wahid

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Ultrasound Versus Virtual Reality on Temporomandibular Disorder Following Surgical Tooth Extraction

Registry	NCT07575633
Status	Not yet recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: single, treatment
Enrollment	50 (Estimated)
Sponsor	Amany Refaat Mohamed Abdel Wahid (Other); collaborators: Cairo University
Conditions	Temporomandibular Disorders (TMD)
Interventions	ultrasound, virtual reality (Device)
Dates	start 2026-05-04 (estimated), primary completion 2026-07-15 (estimated), completion 2026-07-30 (estimated), first posted 2026-05-08, last updated 2026-05-08

-Summary

The Purpose of the study is to compare between the therapeutic efficacy of ultrasound and VR in decreasing pain and improving ROM for Patients with temporomandibular joint disorder after tooth extraction surgery.

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+Detailed description

The study will be carried out on patients suffering from temporomandibular joint disorder following tooth extraction surgery. Their ages will range from (40-60) years. They will be randomly divided into two equal groups:

1. Group A:

This group will include 25 patients suffering from TMJ dysfunction (pain and reduced mouth opening) after tooth extraction. They will receive pulsed ultrasound and traditional manual therapy. The first session of treatment will be 24hr after extraction for three times for one week.
2. Group B:

This group will include 25 patients suffering from TMJ dysfunction (pain and reduced mouth opening) after tooth extraction. They will receive virtual reality and traditional manual therapy. The first session of treatment will be 24hr after extraction for three times for one week.

+Arms and interventions

Arm	Type	Interventions	Description
group who will receive ultrasound	Active comparator	Device: ultrasound	They will receive pulsed ultrasound and traditional manual therapy.
group who will receive virtual reality	Active comparator	Device: virtual reality	they will receive virtual reality and traditional manual therapy.

ultrasound (Device): pulsed ultrasound
virtual reality (Device): Fully Immersive VR

+Outcome measures

Primary outcomes

pain free maximum mouth opening (MMO) [before and after the treatment (after 1 week)]: Millimeter ruler for measuring pain free maximum mouth opening (MMO)
pain measurement [before and after the treatment ( 1 week)]: Visual Analogue Scale for pain measurement (VAS).

+Eligibility

Sex: All, ages: 40 Years to 60 Years

Inclusion Criteria:

* The subject selection will be according to the following criteria:

  * Patients after tooth extraction.
  * Patients from both genders.
  * Patients suffering from pain and reduced mouth opening.
  * Age ranges between 40-60 years.
  * All patients will have informed consent.

Exclusion Criteria:

* . Surgery that conducted on the temporomandibular joint (meniscectomy, arthroscopy, etc.).

  * Patients with systemic disease as diabetes mellitus.
  * Patients with neurological conditions.